DR. Kent A. Heideman, D.D.S.

NPI #1780895219 in Washington, Utah

Provider Information

NPI Number
1780895219
Entity Type
Individual
Name
DR. Kent A. Heideman, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
195 W TELEGRAPH ST
State
Utah
ZIP Code
84780-1675
Phone
(435) 673-4605

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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